|
Disability dlco
|
$2,546.34 |
$2,546.34 |
$2,546.34 |
$302.90
|
|
Dna antibody native/double stranded
|
$111.82 |
$111.82 |
$111.82 |
$102.60
|
|
Doppler echo complete
|
$4,535.20 |
$4,535.20 |
$4,535.20 |
$608.25
|
|
Dornase alfa non-comp unit
|
$500.30 |
$500.30 |
$500.30 |
$495.28
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$7,469.25 |
$7,469.25 |
$7,469.25 |
$2,469.31
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$50.96 |
$50.96 |
$50.96 |
$100.10
|
|
Droperidol 2.5 mg/ml injection solution
|
$65.73 |
$65.73 |
$65.73 |
$39.60
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$10,375.97 |
$10,375.97 |
$10,375.97 |
$12,735.45
|
|
Drug assay posaconazole
|
$64.00 |
$64.00 |
$64.00 |
$96.39
|
|
Drug test def 8-14 classes
|
$90.00 |
$90.00 |
$90.00 |
$172.25
|
|
Drug test prsmv instrmnt
|
$95.00 |
$95.00 |
$95.00 |
$83.46
|
|
Duplex scan bilateral study 93985
|
$3,847.56 |
$3,847.56 |
$3,847.56 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$3,601.47 |
$3,601.47 |
$3,601.47 |
$392.15
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$3,001.20 |
$3,001.20 |
$3,001.20 |
$759.85
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$4,931.40 |
$4,931.40 |
$4,931.40 |
$890.55
|
|
Ecg < 30 days transmission & analysis
|
$2,328.50 |
$2,328.50 |
$2,328.50 |
$466.20
|
|
Ecg external < 48 hours recording
|
$9,956.74 |
$9,956.74 |
$9,956.74 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$3,002.87 |
$3,002.87 |
$3,002.87 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$17,435.36 |
$17,435.36 |
$17,435.36 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$3,704.93 |
$3,704.93 |
$3,704.93 |
$463.45
|
|
Echocardiography transthoracic 2d followup/limited
|
$4,523.60 |
$4,523.60 |
$4,523.60 |
$720.60
|
|
Echocardiograpy doppler follow up/limited study
|
$2,266.10 |
$2,266.10 |
$2,266.10 |
$353.46
|
|
Echo guidance radiotherapy
|
$1,061.98 |
$1,061.98 |
$1,061.98 |
$774.80
|
|
Echo guide for artery repair
|
$15,280.99 |
$15,280.99 |
$15,280.99 |
$680.28
|
|
Echo stress
|
$2,927.76 |
$2,927.76 |
$2,927.76 |
$1,586.90
|
|
Echo tee guidance
|
$22,866.91 |
$22,866.91 |
$22,866.91 |
$2,007.00
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$9,194.63 |
$9,194.63 |
$9,194.63 |
$1,011.36
|
|
Eeg 41-60 minutes 95812-26
|
$6,247.56 |
$6,247.56 |
$6,247.56 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$6,771.31 |
$6,771.31 |
$6,771.31 |
$1,025.45
|
|
Eeg during surgery
|
$10,541.84 |
$10,541.84 |
$10,541.84 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$5,640.84 |
$5,640.84 |
$5,640.84 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$7,280.61 |
$7,280.61 |
$7,280.61 |
$1,117.21
|
|
Eeg/record in coma or sleep only 95822
|
$5,323.47 |
$5,323.47 |
$5,323.47 |
$936.00
|
|
Eeg recording awake and asleep
|
$5,640.84 |
$5,640.84 |
$5,640.84 |
$1,030.27
|
|
Electrolyte panel
|
$1,188.07 |
$1,188.07 |
$1,188.07 |
$88.20
|
|
Electron microscopy diagnostic
|
$1,278.00 |
$1,278.00 |
$1,278.00 |
$981.50
|
|
Electrophysiology evaluation
|
$38,276.65 |
$38,276.65 |
$38,276.65 |
$8,979.45
|
|
Electrophysiology evaluation
|
$43,132.02 |
$43,132.02 |
$43,132.02 |
$10,724.84
|
|
Electrophysiology evaluation
|
$77,380.13 |
$77,380.13 |
$77,380.13 |
$7,769.30
|
|
Electrophysiology evaluation
|
$52,470.87 |
$52,470.87 |
$52,470.87 |
$6,516.00
|
|
Electrophys map 3d add-on
|
$10,022.39 |
$10,022.39 |
$10,022.39 |
$6,418.44
|
|
Endo cath bile duct s&i
|
$8,328.13 |
$8,328.13 |
$8,328.13 |
$583.55
|
|
Endo cath panc duct s&i
|
$8,328.13 |
$8,328.13 |
$8,328.13 |
$645.00
|
|
Endoscopy swallow (fees) vid
|
$1,110.78 |
$1,110.78 |
$1,110.78 |
$414.06
|
|
Ep & ablate supravent arrhyt
|
$106,782.94 |
$106,782.94 |
$106,782.94 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$106,782.94 |
$106,782.94 |
$106,782.94 |
$30,473.30
|
|
Ep induct arrhy by elect pacing
|
$20,270.31 |
$20,270.31 |
$20,270.31 |
$2,753.40
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$2,135.26 |
$2,135.26 |
$2,135.26 |
$195.23
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$471.78 |
$471.78 |
$471.78 |
$136.00
|
|
Epstein barr early antigen antibody
|
$12.00 |
$12.00 |
$12.00 |
$71.64
|
|
Epstein barr nuclear antigen antibody
|
$4.00 |
$4.00 |
$4.00 |
$80.80
|
|
Ercp biliary & pancreas
|
$8,328.13 |
$8,328.13 |
$8,328.13 |
$943.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$386.47 |
$386.47 |
$386.47 |
$364.08
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$250.66 |
$250.66 |
$250.66 |
$253.52
|
|
Esophagus motility study
|
$5,301.26 |
$5,301.26 |
$5,301.26 |
$1,289.20
|
|
Estradiol total
|
$227.43 |
$227.43 |
$227.43 |
$149.43
|
|
Estrogens total-sendout
|
$5.70 |
$5.70 |
$5.70 |
$85.20
|
|
Ethylene glycol -sendout
|
$12.36 |
$12.36 |
$12.36 |
$77.40
|
|
Eval/fit voice prosthesis iii, st
|
$641.97 |
$641.97 |
$641.97 |
$363.00
|
|
Evaluation heart device
|
$16,025.61 |
$16,025.61 |
$16,025.61 |
$2,523.52
|
|
Event monitor
|
$1,396.34 |
$1,396.34 |
$1,396.34 |
$242.12
|
|
Evoked potentials upper limbs
|
$3,568.62 |
$3,568.62 |
$3,568.62 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$4,411.97 |
$4,411.97 |
$4,411.97 |
$844.00
|
|
External chromosome analysis 20-25 cells
|
$145.50 |
$145.50 |
$145.50 |
$377.52
|
|
Facial bones <3
|
$2,321.99 |
$2,321.99 |
$2,321.99 |
$241.75
|
|
Factor ix non-recombinant
|
$4.73 |
$4.73 |
$4.73 |
$1.82
|
|
Factor viii
|
$5.02 |
$5.02 |
$5.02 |
$1.60
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$19.50 |
$19.50 |
$19.50 |
$24.21
|
|
Feeding tube reposition
|
$9,836.32 |
$9,836.32 |
$9,836.32 |
$438.70
|
|
Fetal fibronectin
|
$524.30 |
$524.30 |
$524.30 |
$352.80
|
|
Fibrin degradation d dimer quantitative
|
$756.14 |
$756.14 |
$756.14 |
$112.89
|
|
Fibrin degradation products
|
$1,145.07 |
$1,145.07 |
$1,145.07 |
$62.40
|
|
Fibrinogen activity
|
$1,711.88 |
$1,711.88 |
$1,711.88 |
$82.38
|
|
Fibrinolytic antiplasmin
|
$40.73 |
$40.73 |
$40.73 |
$58.85
|
|
Flecainide (tambocor)-sendout
|
$12.22 |
$12.22 |
$12.22 |
$66.43
|
|
Fludarabine 50 mg intravenous solution
|
$2,468.97 |
$2,468.97 |
$2,468.97 |
$601.96
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$49.99 |
$49.99 |
$49.99 |
$106.20
|
|
Follow-up angiography
|
$7,561.03 |
$7,561.03 |
$7,561.03 |
$1,924.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$10,369.25 |
$10,369.25 |
$10,369.25 |
$2,926.05
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,694.54 |
$1,694.54 |
$1,694.54 |
$462.82
|
|
Foscarnet sodium injection
|
$530.70 |
$530.70 |
$530.70 |
$837.72
|
|
Fresh frozen plasma thawing ea un
|
$97.55 |
$97.55 |
$97.55 |
$129.00
|
|
Frozen blood thaw
|
$580.05 |
$580.05 |
$580.05 |
$189.84
|
|
Fructosamine glycated protein
|
$122.73 |
$122.73 |
$122.73 |
$60.42
|
|
Ga-67 gallium 0.1 mci
|
$2,996.28 |
$2,996.28 |
$2,996.28 |
$163.80
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$474.22 |
$474.22 |
$474.22 |
$211.10
|
|
Gastric analy w/ph ea spec
|
$253.85 |
$253.85 |
$253.85 |
$23.01
|
|
Gastroesophageal reflux test
|
$6,369.89 |
$6,369.89 |
$6,369.89 |
$1,115.40
|
|
Gated heart multiple
|
$9,782.86 |
$9,782.86 |
$9,782.86 |
$1,370.99
|
|
G-esoph reflx tst w/electrod
|
$15,196.14 |
$15,196.14 |
$15,196.14 |
$1,352.03
|
|
Ghs acetylcholinesterase, rbc
|
$7.74 |
$7.74 |
$7.74 |
$39.60
|
|
Ghs chemo IV push, ea addtl
|
$1,557.11 |
$1,557.11 |
$1,557.11 |
$292.80
|
|
Ghs diphtheria toxoid ab igg
|
$8.15 |
$8.15 |
$8.15 |
$68.25
|
|
Ghs febrile agglutinns(mayo)
|
$102.42 |
$102.42 |
$102.42 |
$48.57
|
|
Ghs fish hybrid in situ 100-300
|
$392.00 |
$392.00 |
$392.00 |
$229.45
|
|
Ghs hcv amplificaiton
|
$54.57 |
$54.57 |
$54.57 |
$195.60
|
|
Ghs hepatitis c virus (hcv riba)
|
$61.09 |
$61.09 |
$61.09 |
$108.46
|
|
Ghs histoplasma antigen
|
$71.75 |
$71.75 |
$71.75 |
$137.80
|
|
Ghs hla-dr/dq, multiple antigens
|
$157.20 |
$157.20 |
$157.20 |
$462.60
|
|
Ghs inhibitor screen
|
$49.28 |
$49.28 |
$49.28 |
$151.54
|
